| NPI | 1952682106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 65491) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NE 13411) |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2011-09-01 |